Prioritize the Steps to Accurately Assess Jugular Venous Pressure in a Client

question 11

Short Answer

Prioritize the steps to accurately assess jugular venous pressure in a client experiencing heart failure. (Enter the number of each step in the proper sequence; do not use commas or spaces.)
A) Place a centimeter ruler on the sternal angle of the client's chest.
B) Place the client on a bed with the head of the bed raised to a 45- to 60-degree angle.
C) Measure the distance from the sternal angle to the horizontal level of the distended neck veins.
D) Check that the sternal angle is approximately 5 cm above the right atrium.

• A) Place a centimeter ruler on the sternal angle of the client's chest.
• B) Place the client on a bed with the head of the bed raised to a 45- to 60-degree angle.
• C) Measure the distance from the sternal angle to the horizontal level of the distended neck veins.
• D) Check that the sternal angle is approximately 5 cm above the right atrium.

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Definitions:

Intrusion

The forced entry of molten rock into or between other rock formations underground.

Shear Zone

A region of the Earth's crust where rocks have been subjected to differential stress causing them to deform via shearing.

Pluton

A body of intrusive igneous rock that crystallized from magma cooling below the Earth's surface; can range in size from small to massive.

Terranes

Pieces of the Earth's crust that have distinct geological histories and have been merged onto a continent along a plate boundary.